MATTHEW DAVID RATHBUN NP NPI 1184239667

NPI Information

NPI: 1184239667
Provider Name: MATTHEW DAVID RATHBUN, NP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Address:
2955 W 95TH ST
EVERGREEN PARK, IL
ZIP 60805
Phone: (331) 814-2186
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Matthew David Rathbun, NP is a primary care nurse practitioner in Evergreen Park, IL. Matthew David Rathbun, NP NPI is 1184239667. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2955 W 95TH ST
EVERGREEN PARK, IL
ZIP 60805-409
Phone: (331) 814-2186

The enumeration date for this NPI number is 9/11/2020 and was last updated on 9/11/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	209021678	ILLINOIS	No
2	363LP2300X	Nurse Practitioner	Primary Care	209021678	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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